OMB
.report
Search
Post-Technical Assistance Evaluation (PTAE)
[NCHHSTP] Capacity Building Assistance Program: Data Management, Monitoring, and Evaluation
OMB: 0920-1322
IC ID: 242739
OMB.report
HHS/CDC
OMB 0920-1322
ICR 202407-0920-005
IC 242739
( )
Documents and Forms
Document Name
Document Type
Form 0920-1322
Post-Technical Assistance Evaluation (PTAE)
Form
0920-1322 Post-Technical Assistance Evaluation (PTAE)
Att 10_Post-Technical Assistance Evaluation-Screenshots.docx
Form
0920-1322 Post-Technical Assistance Evaluation (PTAE)
Att 10_Post-Technical Assistance Evaluation-Screenshots.docx
Form
0920-1322 Post-Technical Assistance Evaluation (PTAE) - WORD
Att 9_Post-Technical Assistance Evaluation-Word version.docx
Form
0920-1322 Post-Technical Assistance Evaluation (PTAE) - WORD
Att 9_Post-Technical Assistance Evaluation-Word version.docx
Form
Att 8_Post-Technical Assistance Evaluation Introductory Email.docx
Post-Technical Assistance (TA) Evaluation Introduction Email
IC Document
Att 8_Post-Technical Assistance Evaluation Introductory Email.docx
Post-Technical Assistance (TA) Evaluation Introduction Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Post-Technical Assistance Evaluation (PTAE)
Agency IC Tracking Number:
0920-1322
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-1322
Post-Technical Assistance Evaluation (PTAE)
Att 10_Post-Technical Assistance Evaluation-Screenshots.docx
Yes
Yes
Fillable Fileable
Form
0920-1322
Post-Technical Assistance Evaluation (PTAE) - WORD
Att 9_Post-Technical Assistance Evaluation-Word version.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Records of Health Professionals in Disease Prevention and Control Training Programs.
FR Citation:
51 FR 42485
Number of Respondents:
3,650
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,300
0
7,300
0
0
0
Annual IC Time Burden (Hours)
608
0
608
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Post-Technical Assistance (TA) Evaluation Introduction Email
Att 8_Post-Technical Assistance Evaluation Introductory Email.docx
08/01/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.